Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | D0033083 | MD |
NPI | 1225043045 |
---|---|
Provider Name | Dr. Heather P Peirce |
First Address | Cumberland, MD 21502-2442 |
Second Address | Cumberland, MD 21502-2442 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D73826 | (02) | MD |